Oncology Conference Attendance Scholarship Application (up to $1,000.00)
Reimbursment limit is up to $1,000 for a NEW certification. Renewal fees are not eligible for this reimbursement.Scholarships are awarded on a first come, first serve basis with up to 10 schoarships awarded. Application period is Sept-Sept
Member Information
Name
*
First Name
Last Name
Credentials
*
Position/Title
*
Place of Employment
*
AVAHO Member more than 1 year:
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yes
no
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Personal Email
*
example@example.com
Name of Conference Attending
*
Upload Conference Flyer
*
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Brief description why you are requesting conference attendance and how this will impact Veteran care
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Scholarship Commitment:
I understand by accepting this scholarship I agree to:
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Attend the conference which I am applying to attend
Provide interview and/or article with AVAHO Highlighting knowledge gained for website use
I understand receipt of scholarship funding will be provided upon completion of AVAHO post conference Interview. By signing, I agree to fulfill the terms of this scholarship
Date
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Month
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Day
Year
Date
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